MEDICARE: MR. MICHAEL P TAYLOR P.T., M.B.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT16450	CA

General Provider Information

NPI Number	:	1346243342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL P TAYLOR P.T., M.B.A.

Provider Business Mailing Address
First Line	:	123 JASPER ST SPC 20
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-2069
Country	:	US
Telephone Number	:	949-702-1989
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 JASPER ST SPC 20
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-2069
Country	:	US
Telephone Number	:	949-702-1989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/12/2026

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